Candidate Registration Form

Personal Information :
*E-mail Address:

                                                                                          
*Confirm E-mail Address:
 
 
*Password:     
*Confirm Password:  
*Title:  
*First Name:  
 *Last Name:  
*Father Name/Spouse Name:  
*Date of Birth:   Clear                       
Upload Age proof document:   
Note: Document should be of jpg/jpeg/png or pdf format. File size should be less than 1 MB.
*Gender:  
*Whether Applicant belongs to :  
*Whether Holding BPL Card ? :
*Permanent Account Number (PAN):
Upload PAN Card Image:   
Note: Document should be of jpg/jpeg/png or pdf format. File size should be less than 1 MB.
OR
*Aadhar No :
Upload Aadhar Card Image:    
Note: Document should be of jpg/jpeg/png or pdf format. File size should be less than 1 MB.
*Photo:
      
Note: Photo size not to exceed 1 MB. Photo File name should contain alphabets, numbers, hyphen, spaces only.
 Photo File name should NOT contain more than one fullstop i.e. ".".

*Educational Qualification:
 
*Computer Training:  
*Whether already undergone Entrepreneur Training?  
*Loan Required
*Holding Bank Account :  
*Any Previous Loan :  
*Premise Details :  
i. Space of 500 Sq. ft Available in your proposed location
ii. Electrical connection available  
iii. Is the location accessible by public  
iv. Is it in market place  
v. Telephone connection available  
vi. Internet connection availability  
vii. What is the current location used for  
 
Employment Details :
*Whether applicant is presently employed?
*Occupation of Father/ Spouse  
*Previous experience of running a self employed enterprise?  
*Whether anybody in the family is running a self employed enterprise?  
*Running Enterprise of Social Enterprise Nature  
Residential Address :
*Residential Address :  
*District :
*Pincode:    Search Pincode (India Only)  
* Whether residing in the above address for  at least 3 years? :  
* Upload Residential proof document: Note: Document should be of jpg/jpeg/png or pdf format. File size should be less than 1 MB.
 
*Permanent Address (If different from above) :
 
 
 
*District :
*Pincode:  
Phone No: ISD : STD :  Phone:  
*Mobile No: ISD :    
*Location preference for taking assessment/ exam  



Please enter the verification code as it is shown in the image alongside.





 
I hereby declare that all the above information provided by me is true to the best of my knowledge. I am aware if any of the above information is found to be incorrect/ incomplete, I will not be eligible to be part of Sandesh programme.